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HomeMy WebLinkAboutCC 12 CLAIM #87-5 03-16-87TO: FROH: SUBJECT: HONORABLE HAYOR AND CITY COUNCIL CITY A~'I'ORNE Y CLAINANT: BRIAN JANES WARTNAN; D/L.- W/CITY: 1/14/87; CLAIH NO: 87-§; ~146 m.~a 10/6/86; DATE FILED CARL WARREN FILE NO.'~ After investigation and review it is recommended that the above- referenced claim be rejected and the City Clerk directed to give proper notice of the rejection to the claimant and to the claimant's attorney. City Attorney JGR(F4.se) Enclosure: Copy of Claim 'CLAIM AGAINST THE CITY OF TUSTIN (For Damages to Persons or Personal Property) Received by via U. S. Mail RECEIVED JAN Inter-office Mail Over the Counter --(~Tu~C~ - The law provides generally that a claim must De ~lled with the City the City of Tustin within 100 days after which the incident or event occurred. Be sure your claim is against the City of Tustin, not another public entity. Where space is insufficient, please use additional paper and identify informa- tion by paragraph number. Completed claims must be mailed or delivered to the City Clerk, The City of Tustin, 300 Centennial Way, Tustin, California 92680 TO THE HONORABLE MAYOR AND CITY COUNCIL, City of Tustin, California: The undersigned respectfully submits the following claim and information rela- tive to damage to persons and/or personal property: NAME OF CLAIMANT: BRIAN JAMES WORTMAN a. ADDRESS OF CLAIMANT: £ b. PHONE NO: ( C. DATE OF BIRTH: SOCIAL DRIVERS d. SECURITY NO: e. LICENSE NO: Name, telephone and post office address to which claimant desires notices to be sent, if other than above: Same as above ¸3. This claim is submitted against: a. The City of Tustin only. b. The following employee(s) of the City of Tustin only: The City of Tustin and the following employee(a) of the City of Tustin only: Tustin Police Officer Kreyling; Tustin Police Officer men~es 4. Occurrence or event from which the claim arises: a. DATE: !0{6/B6 b. 'TIME: 1:29 a.m. c. PLACE (Exact and specific location): 15401 Williams, %!36 Tustin. CA 92680 d. How and under what circumstances did damage or injury occur? Specify the omission you claim c jury or damage (Use additional paper if necessa Officers sicked Axei on Brian Wcr~man whc had been asleep cutside his Mom's house. 'wortman was unarmed and non-violent, but the officers failure to call off the do~ whlch severely bit Wcr=man's r~. and left ieus? recuirinc paramedics and hospital stitches. e. What particular action by the City, or its employees, caused the alleged damage or injury? Tustin Police Department offic~ hav~? c~n~ ~?~- ~w~,-~-o. :peci=ica~V Officers Krevlinc and Mende~ failed tc ca~ c== ~h~ ~c ^-~ ft k~ c~ve~ed Wer=man ins~ea~ ,n~ ~ w~m . ~_~C~-= - ~ ~lS wnl!e ~S mo~er Deqc_. o~_ce_s _o ct=_ c_~ th ... : able to identify Brian as her son to the officer. The officers shouted ~o th~ '5. Give a description of the injury, property damage or loss so far as is known at the time of this claim. If there were no injuries, s%~te "no injuries". laceration of the right knee area and left thiah intQ ~be buttock area. the lat~te~ required mu%timle stitches. 6. Give the name(s) of the City employee(s) causing the damage or injury: Officer Krevlinc with his doc Axel K-9: officer Mendes 7. Name and address of any other person inj.ured: none 8. Name and address of the owner of any damaged property: none Damages claimed: a. Amount claimed as of this date: unknown b. Estimated amount of future costs: __unknown c. Total amount claimed: unknown d. Basis for computation of amounts claimed (include coples o~ all bills, invoices~ estimates, etc.: bills recuested 10. Names and addresses of all witnesses, hospitals, doctors, etc.: a. Health Care Center of Tustin, 'NewDort ~vd.. Tustin b. UCI,'Or. anqe ($174.00) c. Marqo Wort-man (mother) same address as Brian il. Any additional information that might be helpful in considering thls c!ai~: WARNING: IT IS A CRIMINAL OFFENSE TO FILE A FALSE CLAIM: (Penal Code Sec=ion 72; Insurance Code Section 556.0) I have read the ma~ters and statements made in the above claim and i know the same ~o De true of my own knowledge, except as tc ~hose maUuers stated to De upon information or Oelief and as to such mat~ers I Oelieve =he same %o ue urue I certi-~y under penalty of perjury that the foregoing is TRUE AND CORRECT.. Executed this 13th day of January , 19 86 ., at Tustln, Callfornla. Office of the City Clerk, Tustin, California CLAI~ NO: ;7'~ Revised 8/05/81 JGR:se:R:8/5/81 (A) CLAIMANT ' S SIGNATURE